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CITY OF ORONO 6124730510 12/17/97 10:25 [9 :02/03 N0:280 <br /> + Total Fce $_./%� �i _ Date Received: <br /> Entered By: .., Perm.1t#; q,3,1 ,7 <br /> MY OF ORONO - BUILDING PEST APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all ionnation) kv <br /> ----- ----- -_.�_ . ....-...................-_-__----------- -- --------a- ----- <br /> `I"HE APPLICANT IS: (circle one) OWNER O CONTRACTOR c� �� 4`` <br /> Tho z p <br /> JOI3 SITE ADDRESS; a o \dv�1 , _ r� ZIP; �9 <br /> NAME OF OWNER; PHONE; (home) <br /> (work) <br /> MAILING ADDRESS: CITY: — ZIP: ,,, <br /> CONTRACTOR: . !;v AV` -'b�.c, Q Q d - PHONE: <br /> CONTACT PER ON: �� WO XLE/PAGER: <br /> MAILING ADDRESS: .���,� CIT <br /> STATE <br /> , v;, ,_ ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGMER; .�¢.-R�Ythk �-Sy �.�y_�.�_ PHONE: <br /> MAILING ADDRESS: 'VoL, U 1, a A -art" CiTY: W� iv - ZIP=—aal -1 <br /> NAME: _ � ,,1 ,��,•�nrh ___ REGISTRAT'ION <br /> TYPE OF WORK: New Addition _ Accessory Structure <br /> Move ; _ __ Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail):c. <br /> r <br /> STORIES; SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT, DET, <br /> C(ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � 01-41u `' <br /> J ) _. <br /> I hereby apply for a building permit and I acknowledge that die information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with, the approved plan. <br /> APPLICANT'S SIGNATUREt DATE: <br /> NOrV, Earade of.Hames events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Nan permitted events will not be allowed. <br />